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General NPI Number Information
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NPI Number | 1134683501
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Entity Type | Organization
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Legal Business Name | ALCEN PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 4420 FRANCIS LEWIS BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3041
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Country | US
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Telephone | 718-438-9369
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Fax | 718-423-9825
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Provider Business Mailing Address
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Address Line | 4420 FRANCIS LEWIS BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3041
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Country | US
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Telephone | 718-438-9369
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Fax | 718-423-9825
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Authorized Official
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Title or Position | OWNER
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Name | DRAZEN VINCENT CENIZA
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Credential | PT
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Telephone | 718-438-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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